ATI RN
Health And Safety for Clients Questions
Question 1 of 5
The nurse cares for a patient who works in a high stress profession but loves the job. Which term best describes this client's psychological state?
Correct Answer: B
Rationale: The correct answer is B: Eustress. Eustress refers to positive stress that motivates an individual and enhances their performance. In this case, the patient loves their job despite its high stress nature, indicating that the stress is perceived as positive and beneficial. Distress (choice A) is negative stress that can be harmful. Psychological stress (choice C) is a broad term encompassing various stressors. Situational stress (choice D) is stress triggered by specific situations, not necessarily related to the individual's perception of the stress as positive or negative.
Question 2 of 5
The nurse's knowledge about spirituality begins with the nurse:
Correct Answer: A
Rationale: The correct answer is A because self-awareness is crucial for a nurse to understand how their own beliefs may influence their interactions with clients. Researching all popular religions (B) may not be necessary for providing spiritual care. Sharing personal faith (C) can be inappropriate and imposing. Providing prayers and religious articles (D) assumes all clients share the same beliefs. Therefore, A is the best choice for starting the nurse's knowledge about spirituality.
Question 3 of 5
Which area of a client's space does the nurse function most often during physical assessment?
Correct Answer: C
Rationale: The correct answer is C: Intimate. During a physical assessment, the nurse functions most often in the intimate area of the client's space, which includes areas such as the client's body and personal belongings. This is where the nurse performs tasks like taking vital signs, conducting physical examinations, and assessing for any abnormalities. The intimate space allows the nurse to gather detailed and sensitive information necessary for providing appropriate care. Choices A, B, and D are incorrect because the nurse does not primarily function in the public (Choice A), social (Choice B), or personal (Choice D) areas of the client's space during a physical assessment.
Question 4 of 5
Before administering a prescribed electrolyte supplement, the nurse reviews a client's electrolyte panel: What should the nurse do next? Electrolytes Na+ = 143 mEq/L Cl- = 101 mEq/L K+ = 5.7 mEq/L Ca++ = 9.3 mEq/L Mg ++ = 2.6 mEq/L
Correct Answer: D
Rationale: Step 1: Analyze the electrolyte panel. The potassium level is high at 5.7 mEq/L. Step 2: High potassium levels can be dangerous (hyperkalemia). Step 3: The nurse should hold the potassium chloride (KCl) supplement to prevent further elevation of potassium levels. Step 4: Re-checking the BMP (choice A) is unnecessary as the issue is clear from the electrolyte panel. Step 5: Administering calcium carbonate (choice B) is not indicated for high potassium levels. Step 6: Administering potassium chloride (KCl) (choice C) is contraindicated due to the already high potassium level.
Question 5 of 5
The nurse, who is performing a peripheral vascular exam, is unable to palpate the posterior tibialis pulse. Which is the most appropriate nursing action?
Correct Answer: C
Rationale: The correct answer is C: Check pulse with a doppler. This is the most appropriate action because a doppler can detect the pulse even when it is difficult to palpate manually. This step ensures thorough assessment and accurate findings. Recording the finding (choice A) may leave out crucial information. Rechecking in 1 hour (choice B) is not necessary if a doppler can be used immediately. Notifying the healthcare provider (choice D) is premature before exploring all assessment options. Using a doppler is the best course of action to confirm the presence or absence of the posterior tibialis pulse accurately.